Billing Manager

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TYPE OF WORK

Full Time

SALARY

P80,000.00/month

HOURS PER WEEK

TBD

DATE POSTED

Feb 11, 2022

JOB OVERVIEW

Job Responsibilities


Billing Manager is a key position in the Revenue Cycle and manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. The incumbent will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely in order to maximize revenues. This position is responsible for directing and coordinating the overall functions of the billing and coding office to ensure maximization of cash flow while improving patient, physician, and other customer relations. The Medical Billing Manager position requires the ability to produce and present detailed billing activity reports.

Principal Accountabilities:
Billing and Claims-
Prepares and submits clean claims to third-party payers either electronically or by paper. -NF, WC, Self Pay, and all commercial carriers.
Generates claims and post SP, Suboxone, Immigration, CDL claims on a daily basis
Maintains relationship with the clearinghouse, including appropriate follow-up with support issues.
Coordinates the process of patient eligibility through various third-party sources.
Coordinates collection process, to include any projects from eClinicalWorks.
Manages monthly statement process, including reviewing of statements before mailing or emailing.
Works with the reception staff and ensures appropriate collection of copay, and self-pay fees.
Handles patient inquiries and answers questions from clerical staff and insurance companies.
Identifies and resolves all patient billing problems.
Oversees all billing staff and business account payment follow-up management.
Posts adjustments, transfer of responsibility, and refunds, as necessary.
Assures coding is compliant and up to date.
Maintains an accurate account of all A/R and collections processes
Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.

Credentialing
Keeps accurate records of provider logins for insurance sites.
Credentialing for all new providers.

Others–
Maintains all business account billing and collection processes.
Makes sure that all billing is appropriate as per the accounts contract.
Ensures that a valid credit card is on file for all accounts and will charge any accounts that become 60 days past due.

QUALIFICATION REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential Upgrade to see actual infoCATION and/or EXPERIENCE:
-Associate degree, preferably in business administration or related field; Bachelor degree
preferred
-3- 5 years experience in healthcare billing & collection practices, preferably with an FQHC,
-Experience working with medical payers including Medicare, Medicaid, Epaces, Connex or any commercial insurance websites
-Working knowledge on medical billing systems, particularly eClinicalWorks,
-Experience with Medicaid’s State Eligibility System,
-Working knowledge of CPT and ICD-9 & ICD-10 coding systems; Coding certification preferred,
- Management of all billing metrics and KPI’s

ABOUT THE EMPLOYER

Contact Person: Malinche Atam

Member since: August 20, 2021

Total Job Posts: 1

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